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DEPARTMENT OF CORRECTIONS
Human ResourcesTitle:Management of Injured Workers DOC Policy: 20.5.17Effective:6/12/06Supersedes: 9/2/03Applicability: All Department of Corrections Employees
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Indicate any previous treatments or ongoing medical care related to the injury or condition.
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Submit the completed form to the appropriate authority or organization as instructed.
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Any individual who has suffered an injury or is managing a medical condition requiring documentation may need form 20517 management and injured. This form is often required by insurance companies, employers, healthcare providers, or government agencies to gather information about the injury or condition, assess the level of management required, and determine eligibility for compensation or benefits.
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